Evidence map›Paper›PMID 16103032›Full record

Trial reportBMJ (Clinical research ed.)2005

Randomised controlled trial of acute mental health care by a crisis resolution team: the north Islington crisis study.

Sonia Johnson, Fiona Nolan, Stephen Pilling, Andrew Sandor, John Hoult, Nigel McKenzie, Ian R White, Marie Thompson, Paul Bebbington

Open access · bronzeAbstract readClinical TrialRandomized Controlled Trial
In one paragraph

Trial report in BMJ (Clinical research ed.), 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 87 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
87citing papers in PubMed, 5 pooled it
15.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

87 citing papers in PubMed, 5 syntheses or guidelines pooled it, 312 citations in OpenAlex.

  1. Crisis intervention for people with severe mental illnesses.The Cochrane database of systematic reviews · 2015
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  4. Crisis intervention for people with severe mental illnesses.The Cochrane database of systematic reviews · 2012
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  6. Economic evaluation of intensive home treatment in comparison to care as usual alongside a randomised controlled trial.The European journal of health economics : HEPAC : health economics in prevention and care · 2025
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  8. From research to practice: Implementing an experimental home treatment model into routine mental health care.European psychiatry : the journal of the Association of European Psychiatrists · 2020
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27 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Sonia JohnsonDepartment of Mental Health Sciences, Royal Free and University College Medical Schools, University College London, London W1W 7EY. s.johnson@ucl.ac.uk
Fiona Nolan
Stephen Pilling
Andrew Sandor
John Hoult
Nigel McKenzie
Ian R White
Marie Thompson
Paul Bebbington
University College London · GBMental Health Research UK · GBWest London Mental Health NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the effectiveness of a crisis resolution team.

designRandomised controlled trial.

participants260 residents of the inner London Borough of Islington who were experiencing crises severe enough for hospital admission to be considered.

interventionsAcute care including a 24 hour crisis resolution team (experimental group), compared with standard care from inpatient services and community mental health teams (control group).

main outcome measuresHospital admission and patients' satisfaction.

resultsPatients in the experimental group were less likely to be admitted to hospital in the eight weeks after the crisis (odds ratio 0.19, 95% confidence interval 0.11 to 0.32), though compulsory admission was not significantly reduced. A difference of 1.6 points in the mean score on the client satisfaction questionnaire (CSQ-8) was not quite significant (P = 0.07), although it became so after adjustment for baseline characteristics (P = 0.002).

conclusionCrisis resolution teams can reduce hospital admissions in mental health crises. They may also increase satisfaction in patients, but this was an equivocal finding.

Indexed as

AdolescentAdultAgedCommunity Mental Health ServicesCrisis InterventionFemaleHospitalizationHumansLondonMaleMental DisordersMiddle AgedPatient Acceptance of Health CarePatient Care TeamPatient SatisfactionPrognosis

Identifiers

PMID16103032
PMCPMC1215550
OpenAlexW2128620650

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.